Permit (14) q CITY OF TIGARD BUILDING PERMIT
I COMMUNITY DEVELOPMENT Permit#: BUP2016-00196
T I GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/14/2016
Parcel: 2S113AB00101
Jurisdiction: Tigard
Site address: 16101 SW 72ND AVE 140
Project: Perlo Construction Subdivision: None Lot: None
Project Description: TI for existing tenant. Tenant is remaining in suite 140 and expanding into suite 100. Work includes demolition,
new walls and doors.
Contractor: PERLO CONSTRUCTION LLC Owner: PACIFIC REALTY ASSOCIATES LP
16101 SW 72ND AVE SUITE 200 ATTN: N PIVEN
TIGARD, OR 97224 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-624-2090 PHONE:
FAX: 503-639-4134
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB DC Provision Review,COM TI-Ping 06/14/2016 $220.00
Occupancy Grp: B Occupancy Load: 50 Permit Fee-Additions,Alterations, 06/14/2016 $1,196.55
Demolition
Dwelling Units: 0 12%State Surcharge-Building 06/14/2016 $143.59
Stories: 2 Height: 0 ft Plan Review 06/14/2016 $777.76
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 06/14/2016 $478.62
Value: $115,000 Metro Const.Excise Tax 06/14/2016 $138.00
Info Process/Archiving-Lg$2.00(over 06/14/2016 $8.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,962.52
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a cop • II-rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Per -- Signature:
•. .s 4175 by 7:00 a.m.for the next available inspection to
This permit card shall be kept in a conspicuous place on the job site until com 'I ion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application 6 r9
Commercial RECEIVED
City of Tigard FOR OFFICE USE ONLY
2016 ReceiDate/Bved: Permit No.:• 4' if; / , 1
lig n 13125 SW Hall Blvd.,Tigard,OR 97223 3UN 14 Plan Review ��� ��
Phone: 503.718.2439 Fax: 503.598.1960 -ri ol1r Date/B : f, Other Permit:
T I G A R D Inspection Line: g 03.63 84175 O� O r Dl'"'c,�)tte Read:y. /' See Page 2 for
Internet: www.ti ard-or. ov BUILDINGV otifed/Method: to �',) S Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑ New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
ID1-and 2-family dwelling ®Commercial/industrial
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:16101 SW 72"d Ave(building A) New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:100/140 Project name:Perlo Construction Covered porch area: square feet
Cross street/directions to job site:Project located off of SW Upper Boones Deck area: square feet
Ferry Road Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Interior tenant improvements for existing tenant on the first floor.Tenant will Valuation: $$115,000.00
remain in suite 140 and expand to suite 100.Work includes demolition,new walls Existing building area: 4322 square feet
area: square feet
New building5289
doors,relites and cabinetry.
❑ PROPERTY OWNER ® TENANT Number of stories: 2
Name:Perlo Construction Type of construction: II
Address:16101 SW 72nd Ave,Suite 200 Occupancy groups:
City/State/ZIP:Tigard,OR 97224 Existing: B
Phone:(503)264-2090 Fax:( )
New: B
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:Mackenzie (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Lauren Rohde
FLS plan review fee(if applicable):
Address:1515 SE Water Ave Suite 100
Total fees due upon application:
City/State/ZIP:Portland,OR 97214
Amount received:
Phone:(503)224-9560 Fax::(503)228-1285
E-mail:Irohde@mcknze.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Perlo Construction Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 16101 SW 72"d Ave,Suite 200 Solar Installation Specialty Code checklist.
City/State/ZIP:TIgard,OR 97224 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)264-2090 Fax:( )
State surcharge(12%of permit fee): $21.60
CCB lie.:189245
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Lauren Rohde Date:06/14/2016 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(1 I/02/COM/WEB)
City of Tigard
IN ■ COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: O0?g l( -X)I q'(
Site Address: 110i SW 72 rct 0►'t Suite/Bldg#: 100 Ii
i 0
Project Name: Per-Q o Co r)S hey C-ham el
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: T I)+Gra ,r Trr y poi n of tv SV i 4 /0 0
Existing Business Activity: 0 FF i
Proposed Business Activity: 0 G(n-Ce.
/Verify site address/suite# exists and active in permit system.
River Terrace Neighborhood: ❑ Yes No
Zoning: � - P
Permitted Use: X Yes ❑ No ❑ Spec Space
Confirm no land use required.
/Business License:
Exists: ❑ Yes ❑ No, applicant notified to obtain business license
Notes:
Approved by Planning: AI► 0/117 a 9/10d ti Date: 6/1 4 ) 1 &
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: 6,476'
Site Plans: # A/A
Building Plans:
/_,E _Building Permit#: [ embuilding permit#above.
Workflow Routing: Planning K 'er�-mtt
Coordinator Gu'i'ding
Workflow Sign-off: [S^ off for Planning(include notes from planning review)
Route Application Documents: ding: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes: 6 C
By Permit Technician: 7r _ Date: 0V/67
I:\Bui lding\Forms\BldgPermitRvw_COM_NoLandUse_070915.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved, NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_070915.docx
City of Tigard • BUILDING DIVISION
III ' Over-The-Counter (OTC) Building & Fire Protection System Permit
I 1,, \i [) Appointment Checklist
Permit Record#: VV(,—(/)//4
Contact Name: ct..wtc,w. Phone #: 50 3-o'ta 4-95-loo
Business Name: a c / Appointment Date: 4VA/ e, @/0:o
Site Address: /Cab/ (6443 �c_.,c_.,ja kl ¢/y0 Bldg/Suite #: /1//(j/pd
Project Name: P (
Project Description: - - 7 ,e,-.-- _ may,. , •• ,, , 44.1. r _„...,• .•
•
4
Existing Use: 2j New Use: e,.
MMD Required: ❑ Yes ❑ No - Related Record #:
AI ?Lt jON.SPECIFIC ,J ?a ;.v:fON
GENERAL INFORMATION
Class of Work: A(.---1— Occupancy Group: Type of Construction: 2 S
Type of Use: CC-)(,-1 Occupancy Load: Oregon Specialty Code: 7
SPECIFICS
Number of Stories: ' Building Height: Mixed Use:
Number of Dw Units: Number of Bathrooms: Number of Bedrooms:
BUILDING SQ FT-SCHOOL CET OTHER SQUARE FOOTAGES
Story Square Footage: Accessory Structure: Covered Porch:
Basement: Garage: Deck:
Total Square Footage: Carport: Mezzanine:
SETBACKS
Sideyard Setback–Left Sideyard Setback–Front
Sideyard Setback–Right Sideyard Setback–Back
CONSTRUCTION
Exterior Walls: Openings Protected: Firewall Separation:
N: S: N: S: Occupancy Separation:
E: W: E: W: Access.Parking Spaces:
REQUIRED ITEMS
Fire Sprinklers: ‘- Fire Alarms: Smoke Detectors:
Sprinkler Type: / Alarm Type: Protected Corridors:
Standpipe Required: Pull Stations Required: Parapet:
Hazard Group: Battery Calcs Provided:
Density: Cut Sheets Provided:
Design Area:
K Factor:
Total Project Valuation: $ (\61 reei D ) FEES DUE
$ r DC Prov Rvw,COM TI–Ping
$ 4 F rmit Fee–Add,Alt,Demo
DC Provision Review Fee for COM TI (effective 7/1/2015) $ • AID, jul 12%State Surcharge
Project Valuation $ ' L Plan Review,Structural
Up to$4,999 $0.00 $ Aral :2–Plecn Review,Fire Life Safety
$5,000-$74,999 $88.00 $ 46 Info Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999 $220.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $351.00 $ Metro Construction Excise Tax
1-56
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ er:
Building Staff: $ ---- Othe .
Date/Time: $2. -,6, OT• FEES DUE
I:\Building\Forms\OTC_BUP_FPS_020916.docx
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
16101 SW 72ND AVE 140, TIGARD, OR, 97224
Commercial - Building
299 Final inspection
PASS - C of O
BUP2016-00196
Chip Barnett
Violation Summary:
Inspector Contractor